Gonorrhea is a condition characterized by frequent and small amount of urination, burning pain in the urethra, unfavorable bowel movements, or acute pain in the small abdomen, with the lower back and abdomen as the main manifestation. This disease is mostly caused by excessive drinking, or eating fatty and sweet food, which causes dampness and heat, or bad emotions, depression and anger that hurt the liver. There are other causes. 1. Frequent and urgent urination, dripping and astringent pain, abdominal constriction and pain in the lower back are the main symptoms of various gonorrhea, which are the main basis for the diagnosis of gonorrhea. According to the different clinical characteristics of various gonorrhea, different gonorrhea evidence is determined. 2.After a long time or repeated attacks, it is often accompanied by low fever, lumbago, abdominal cramps and fatigue. 3.Most often seen in married women, triggered by fatigue, emotional changes, feeling external evil. 4, combined with relevant examinations, such as urine routine, urine bacterial culture, X-ray abdominal radiograph, pyelogram, ultrasound, cystoscopy, etc., can clarify the diagnosis. Treatment The basic principle for the treatment of gonorrhea is to clear the actual evidence and to supplement the deficiency. If the actual evidence is mainly damp-heat in the bladder, the treatment should be to clear heat and dampness; if heat burns the blood, the treatment should be to cool the blood and stop bleeding; if sand and stones accumulate, the treatment should be to ventilate and drain the stones; if qi stagnation is the main problem, the treatment should be to facilitate the flow of qi. If the deficiency is mainly due to spleen deficiency, the treatment should be to strengthen the spleen and benefit the qi; if the deficiency is mainly due to kidney deficiency, the treatment should be to supplement the deficiency and benefit the kidney. In the treatment of gonorrhea, there are ancient sayings of avoiding sweat and tonic, such as “The Golden Plaque” says: “The gonorrhea family should not sweat”, “Danxi Xinfa? The “gonorrhea” says: “The most important thing is not to use the medicine of qi tonic, because the qi will become more and more distended, the blood will become more and more astringent, and the heat will become more and more abundant if it is tonic”. In clinical practice, this may not always be the case. Gonorrhea often has fear of cold and fever, this is not the external evil attacking the table, but the damp heat fumigation, caused by the fight between evil and positive, sweating and relieving the table, since it is not appropriate. Because the gonorrhea is mostly heat in the bladder, yin often feels inadequate, and the use of pungent release, improper, not only can not reduce fever, but also has the disadvantage of robbing the Ying Yin. If the gonorrhea is really induced by external sensation, or if the gonorrhea family is newly infected with external evil, and the symptoms are vicious cold, fever, nasal congestion, runny nose, cough and sore throat, it is still appropriate to use pungent and cooling agents to relieve the surface and generate sweat. Since gonorrhea is caused by heat in the bladder and lack of yin fluid, even if the cold is felt, it is easy to turn into heat, so avoid pungent and warm products. As for the saying that gonorrhea should not be supplemented, it refers to the evidence of actual heat, such as card deficiency of middle qi sinking, kidney deficiency of the lower yuan is not solid, so we should use the rule of strengthening the spleen and benefiting qi, tonifying the kidney and fixing astringency, etc. There is no need to be contraindicated. Diet and health care More light food, pay attention to the regular diet. Preventive care Strengthening physical fitness, preventing internal injury of emotion and will, and eliminating various factors related to invasion of external evil and internal growth of damp heat, such as tolerance of urination, over-eating fat and sweet, over-indulgence in sexual desire, unclean vulva, and damp heat and dampness, are important aspects to prevent the onset of gonorrhea and recurrence of the disease. Paying attention to pregnancy and postpartum hygiene is important to prevent the occurrence of gonorrhea and postpartum gonorrhea. Actively treating diseases such as hypochondriasis and avoiding unnecessary catheterization and urinary tract instrumentation can also reduce the occurrence of this disease. Gonorrhea should drink more water, diet should be light, avoid fatty, dry, spicy products; forbid intercourse; pay attention to proper rest, help to recover health as soon as possible. Pathogenesis 1, bladder damp heat eat more hot and spicy fatty and sweet products, or too much wine, brewed into damp heat, down to the bladder; or the lower yin unclean, filthy evil invaded the bladder, brewed into damp heat, hair and for gonorrhea. If the urine burning stinging pain for hot gonorrhea; if damp heat accumulation, urine by its torment, accumulation of months, urine impurities knot for gravel, then for stone gonorrhea; if damp heat accumulation in the lower, so that the gas is not conducive to clearing and secretion, lipids with urine and go, urine like grease, such as cream, then for cream gonorrhea; if heat Sheng injury, forced blood delusion, urine astringent pain with blood, then for blood gonorrhea. 2, the spleen and kidney deficiency long gonorrhea, damp heat depletion of vital energy, or old age, long illness and weakness, as well as excessive exertion, room indiscipline, can lead to spleen and kidney deficiency. If the spleen is deficient, the middle qi will sink, and if the kidney is deficient, the lower element will not be solid, so the urine will not stop dripping. If there is a deficiency of kidney qi, there is no solidity in the lower part of the body, and it cannot restrain the lipids, which will drain down and make the urine cloudy, then it is a blood shower; if there is a deficiency of kidney yin, and the deficiency of fire disturbs the ligament, blood will be caught in the urine, then it is a blood shower. 3, liver depression and qi stagnation irritation and injury to the liver, qi stagnation does not declare, qi depression and fire, or qi and fire depression in the lower jiao, affect the qi of the bladder, the less abdomen for distension, urination is difficult and painful, the remaining leachings do not end, and the development of qi gonorrhea, this is the actual evidence of qi gonorrhea; qi gonorrhea caused by the lower qi, is the deficiency of qi gonorrhea. This is why the “Medical must read gonorrhea evidence” points out that “there is a difference between deficiency and reality in qigong.” In summary, it can be seen that gonorrhea is caused by the bladder and kidney, and is related to the liver and spleen. The pathogenesis is mainly the accumulation of dampness and heat in the lower jiao, resulting in unfavorable qi-transformation in the bladder. Disease diagnosis 1. retention of urine Retention of urine is characterized by difficulty in urination and small amount of urine or even no drops at all, and its small amount of urine and difficulty in urination are similar to that of Lin. However, in the case of gonorrhea, urination is frequent and painful, and the total amount of urination per day is mostly normal; in the case of retention of urine, there is no painful urination, and the amount of urine discharged per day is lower than normal, and in severe cases, urine is occluded and no urine is discharged. 2. Blood in urine Blood in urine and blood in urine both have symptoms such as bleeding in urine, red color of urine, or even pure blood in drowning. The main point of differentiation is the presence of painful urination. The blood in urine is mostly painless, although there is also a slight swelling or heat pain, but it is not as painful as the dripping of urine in blood gonorrhea, so generally the painful one is blood gonorrhea, and the non-painful one is blood in urine. The cloudy urine of gonorrhea should be distinguished from urine turbidity. Although the urine is cloudy, white like slop, similar to the paste, but there is no painful stagnation when urinating, which is different from the gonorrhea. 1, hot gonorrhea Symptoms: short urine, burning and stinging pain, drowning yellowish red, less abdominal constriction and swelling pain, or cold and heat, bitter mouth, vomiting and vomiting, or waist pain and refusal to press, or constipation, yellowish greasy coating, slippery pulse. Treatment: Clearing heat, relieving dampness and promoting lymphatic flow. Recipe: Tongliang Tang: Moutong 12g, Fangji 12g, Zedaxia 12g, Maogan 30g, Zhuye 12g, Huangbai 12g, Gongying 20g, Hujian 15g, Di Ding 20g, Che Qianzi 12g, Biancao 12g, Qomai 12g, Slippery Rock 30g, Dahuang 10g, Mountain Gardenia 12g, Amber 5g, Licorice 6g, decoction with water. Five Gongyan Pill and Exorcism Pill are taken orally. 2.Stone gonorrhea Symptoms: sand and stones in urine, difficult and astringent urination, or sudden interruption of urination, painful urethral distress, abdominal constriction, or abdominal cramps, blood in urine, red tongue, thin yellow coating, string or number of pulse. If the pain for a long time gravel does not go, can be accompanied by a less florid face, mental atrophy, less energy and weakness, tongue light side with tooth marks, pulse thin and weak; or waist and abdomen hidden pain, hand and foot heart heat, tongue red and less bitter, pulse thin with a number. Treatment: Clearing heat and relieving dampness, clearing lymph nodes and draining stones. Remedy: Stone Dissipation Soup: Shi Wei 12g, Dong Qu Zi 12g, Qian Cao 30g, Hai Jin Sha 30g, Chicken Nei Jin 12g, Amber 5g, Mao Gen 30g, Qu Mai, Xiao Ji 12g, Sheng Di 20g, Lotus Root 12g, Slippery Rock 30g, Che Qian Zi 12g, Mu Tong 12g, Tong Cao 10g, Huang Bai 12g, Da Huang 6g, Licorice 6g, decoction with water. Jinjia Pill and Dexing Stone Pill are taken orally. 3.Qi gonorrhea Symptoms: Actual symptoms are astringent urine, dripping, fullness and pain in the lower abdomen, thin white fur, and sunken string pulse. Deficient evidence is manifested as less abdominal cramps, urine with residual dripping, white face, light tongue, weak and thin pulse. Treatment: For the actual evidence, it is advisable to promote the flow of Qi, while for the deficiency evidence, it is advisable to tonify the middle and benefit the Qi. Remedies: Dissipate Stagnation San for real evidence and Tonify Zhong Tang for deficiency evidence. In Dissipating Stagnation San, 10 grams of sunken incense, 12 grams of orange peel, 10 grams of descending incense, 10 grams of mouton, 12 grams of Chuanxiong, 12 grams of angelica, 15 grams of white peony, 6 grams of licorice, 12 grams of stone wormwood, 20 grams of slippery stone, 12 grams of dong quaizi, 12 grams of wu yao, 10 grams of cumin, 12 grams of red peony, 10 grams of safflower, taken with water. Li-Qi Pills are taken orally. Tonic Chinese Soup: Dang Shen 15g, Atractylodes Macrocephala 12g, Poria 15g, Astragalus 30g, Lentil 12g, Ganoderma 12g, Lotus 12g, Yam 20g, Eucommia 12g, Fructus Lycii 15g, Radix Achyranthes Bidentata 12g, Fructus Fritillariae 12g, Fructus Maogan 20g, Phellodendron 10g, Zedoaria 12g, Glycyrrhiza 6g, decoction in water. Yi Qi Pill is taken orally. 4.Blood gonorrhea Symptoms: Actual symptoms include hot and stinging urine, dark red urine; or blood clots, increasing pain and urgency; or disturbed heart, yellow fur, slippery pulse. Deficiency evidence is manifested as light red urine, urinary pain and astringency is not significant, lumbar acidity and knee weakness, fatigue, light red tongue, pulse is thin. Treatment: For real evidence, it is advisable to clear heat and laxative, cool the blood and stop bleeding; for deficiency evidence, it is advisable to nourish yin and clear heat, replenish deficiency and stop bleeding. Remedies: Liangbao Tang is used for actual symptoms; Zhi Bai Tang is used for deficiency symptoms. In the formula of Cool Blood Soup, 12 grams of small thistle, 20 grams of raw earth, 10 grams of pu huang char, 15 grams of lotus root, 15 grams of ground elm char, 15 grams of palm char, 12 grams of mouton, 12 grams of bamboo leaf, 12 grams of gardenia, 20 grams of slippery stone, 12 grams of angelica, 3 grams of panax quinquefolium, 6 grams of licorice, taken with water. Blood Ning Wan is taken orally. Zhi Bai Tang Zhi Mu 12g, Huang Bai 12g, Sheng Di 20g, Dan Pi 12g, Fu Ling 12g, Ze Di 12g, Shan Yao 20g, Shan Yu Flesh 12g, Drynaria 20g, Lady’s Mantle 12g, Bamboo Leaf 12g, Mao Gen 20g, Aconite 10g, Xiao Ji 12g, Licorice 6g, decoction in water. Zhi Bai Wan is taken orally. 5.Ointment gonorrhea Symptoms: Actual symptoms are cloudy urine like rice swill, precipitation like flocculent, with floating oil like fat, or with clots, or mixed with blood, hot and painful urethra, red tongue, yellow greasy coating, deficient pulse. The deficiency evidence shows that the disease is prolonged, recurring episodes, dripping out like grease, astringent pain is reduced, but the body is gradually losing weight, dizziness and weakness, lumbar acidity and knee weakness, light tongue, greasy moss, weak and feeble pulse. Treatment: For real evidence, it is advisable to clear heat and dampness, and to divert turbidity; for deficiency evidence, it is advisable to supplement deficiency and fix astringency. Remedies: Dioscorea soup is used for actual symptoms; Qingxian Tang is used for deficiency symptoms. In Dioscorea Tang, 12 grams of Dioscorea, 12 grams of Calamus, 12 grams of Zedoaria, 12 grams of Fangji, 12 grams of Phellodendron, 12 grams of Atractylodes, 15 grams of Poria, 12 grams of Lotus, 20 grams of Salvia, 12 grams of Angelica, 12 grams of Chuanxiong, 12 grams of Wu Yao, 12 grams of Qing Pi, 12 grams of Xiao Ji, 12 grams of Lotus root, 20 grams of Maogan, 6 grams of Licorice, decoction with water. Bazheng Pill is taken orally. Radix Codonopsis pilosulae 30g, Radix et Rhizoma Dioscoreae 30g, Radix Rehmanniae 20g, Semen Coicis 20g, Radix Astragali 30g, Radix Rehmanniae 12g, Radix Lotus 15g, Radix Bone Marrow 30g, Radix Oyster 30g, Radix Paeoniae Alba 15g, Radix Pilosulae 12g, Radix Salviae Miltiorrhizae 12g, Radix Rehmanniae 12g, Semen Cuscutae 12g, Radix Glycyrrhiza Uralensis 6g, decoction in water. Also Shao Wan is taken orally. Symptoms: urine is not very red and astringent, but dripping and leaking, stopping at times, immediately after straining, lumbar soreness and knee weakness, fatigue, pale tongue, weak pulse. Treatment: Strengthening the spleen and benefiting the kidney. Recipe: Strengthening the spleen and benefiting the kidney soup, including 30 grams of yam, 12 grams of poria, 12 grams of zedoary, 30 grams of codonopsis, 30 grams of astragalus, 12 grams of atractylodes, 12 grams of yellow essence, 20 grams of rehmannia, 15 grams of cornelian, 12 grams of bacopa monniera, 15 grams of cuscuta, 12 grams of eucommia, 12 grams of cow’s knee, 12 grams of schisandra, 12 grams of cistanches, 12 grams of red stone resin, 10 grams of turtle plate, 30 grams of oyster, 15 grams of deer antler cream 6g of Glycyrrhiza glabra, taken with water decoction. Solid Kidney Pill is taken orally.